November 2011 archive

Nov 30 2011

Innervation of the Tongue

Tongue Innervation

The innervation of the tongue is basic anatomy, but can be easily confused due to its complexity. The three basic components of the innervation are motor, sensory, and taste. The motor component to the entire tongue is supplied by the Hypoglossal nerve (CN XII), except the palatoglossus muscle, which is supplied by the pharyngeal branch …

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Nov 29 2011

Initial Evaluation of Cough

Cough is the most common chief complaint for patients who present to their primary care physician. Therefore, it is imperative to have a systematic method of working up the cause. An article published in the Journal of the American Academy of Nurse Practitioners in August 2009 provides a good way of working up cough in …

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Nov 27 2011

Learn the Lab Test: Lactate Dehydrogenase (LDH)

LDH is one of those lab tests that is frequently ordered and has several different uses. It is hard to remember everything it can be used for, because it spans so many different topics. Therefore, I think it deserves its own post to put all the details in one place. Lactate dehydrogenase (LDH) is an …

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Nov 26 2011

Internalize Info of the Week: Tramadol (Ultram)

This week was a nice short week for me, and I was very grateful to have time off for Thanksgiving. Being on an office rotation is especially great for that reason. I didn’t get asked very many questions this week, and no topic stuck out for me to post on. So, I decided to post …

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Nov 25 2011

Cotton Swabs Should Not Be Put Into Your Ears

I have looked into at least several hundred pairs of ears by now in my medical education, and I have seen the effects of cotton swab usage. It is pretty easy to tell by looking into someone’s ear if they are using them, because there is usually a big glob of wax packed far into …

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Nov 24 2011

Eagle’s Syndrome

When I think of an eagle, I think about America, and when I think about America, I think about the Declaration of Independence, and when I think about the Declaration of Independence, I think about how it was signed with a pen (stylus), and when I think about a stylus, it reminds me of the …

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Nov 23 2011

Text Messaging Can Help You Quit Smoking

Text messaging has become a widely used method of communication, and has even developed its own language with all the abbreviations and autocorrect errors. Texting while driving (and even walking) has its own inherent dangers, but could texting actually be good for your health? Well, quitting smoking sure is and text messages can help you …

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Nov 22 2011

How to Dictate a History and Physical

Dictating is part of every doctor’s responsibilities, but is not formally taught in medical school. Medical students are not usually allowed to dictate when they are on clinical rotations in the 3rd and 4th years of medical school. All residents are responsible for dictating, and most learn how to do so on the job during …

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Nov 21 2011

Overview of Thyroid Cancer

Cancer is something that all doctors keep in the back of their minds as a worst case scenario. Therefore, it should always be in the differential so it can be ruled out. In any patient that presents with a neck mass, swollen lymph nodes, enlarged thyroid gland, or thyroid nodule, thyroid cancer must be ruled …

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Nov 19 2011

Learn the Lab Test: Troponin

It is fairly common knowledge that troponin is the marker that becomes elevated in a heart attack, or myocardial infarction (MI). However, there is a lot more information that troponin has to offer. This post will review what exactly troponin is, and what conditions cause it to be elevated (it’s not always an MI). Troponin …

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